title: Predicting asthma exacerbations using artificial intelligence.
abstract: Modern telemonitoring systems identify a serious patient deterioration when it already occurred. It would be much more beneficial if the upcoming clinical deterioration were identified ahead of time even before a patient actually experiences it. The goal of this study was to assess artificial intelligence approaches which potentially can be used in telemonitoring systems for advance prediction of changes in disease severity before they actually occur. The study dataset was based on daily self-reports submitted by 26 adult asthma patients during home telemonitoring consisting of 7001 records. Two classification algorithms were employed for building predictive models: naïve Bayesian classifier and support vector machines. Using a 7-day window, a support vector machine was able to predict asthma exacerbation to occur on the day 8 with the accuracy of 0.80, sensitivity of 0.84 and specificity of 0.80. Our study showed that methods of artificial intelligence have significant potential in developing individualized decision support for chronic disease telemonitoring systems.
authors.affiliation: Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Finkelstein
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Wood
mesh_terms: D000328:Adult; D001185:Artificial Intelligence; D001249:Asthma / Q000145:classification* / Q000175:diagnosis*; D001499:Bayes Theorem; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010363:Pattern Recognition, Automated / Q000379:methods*; D011379:Prognosis; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D017216:Telemedicine / Q000379:methods*